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Transurethral assistant transumbilical laparoendoscopic single-site radical prostatectomy

Transurethral assistant transumbilical laparoendoscopic single-site radical prostatectomy

作     者:Chen Zhu Jian Su Lin Yuan Yang Zhang Zi-Jie Lu Yun Su Ning-Hong Wang Xiao-Jian Gu Qing-Yi Zhu 

作者机构:Department of Urology Affiliated Hospital of Nanjing University of Traditional Chinese Medicine Nanjing China. 

出 版 物:《Asian Journal of Andrology》 (亚洲男性学杂志(英文版))

年 卷 期:2017年第19卷第4期

页      面:473-476页

核心收录:

学科分类:090603[农学-临床兽医学] 0710[理学-生物学] 1002[医学-临床医学] 07[理学] 08[工学] 09[农学] 0906[农学-兽医学] 071007[理学-遗传学] 0901[农学-作物学] 0836[工学-生物工程] 090102[农学-作物遗传育种] 

基  金:国家自然科学基金 

主  题:laparoendoscopic single-site surgery prostate cancer transurethral assistant 

摘      要:The laparoendoscopic single-site (LESS) technique is the latest technical innovation in laparoscopic surgery to undergo exponential development in urology. This study undertaken to illustrate our initial experience LESS radical prostatectomy (RP) and analyze early outcomes. Nineteen patients diagnosed with prostate cancer underwent LESS-RP in our institute. The patients were divided into two groups: conventional LESS and transurethral assistant LESS. Preoperative, perioperative, postoperative, pathologic, and functional outcomes data were assessed. With the help of a transurethral assistant, the mean operation and anastomosis time were decreased markedly. No focal positive margins were encountered. No prostate-specific antigen recurrence was detected 1 month postoperatively. Complete continence recovery (no pad) was observed in 32% of the patients at 1 month after the operation. No intraoperative and postoperative complications were reported, LESS-RP is a feasible and effective surgical procedure for treatment of prostate cancer. Moreover, transurethral assistant LESS could reduce the difficulty of LESS-RP and shorten the operation time.

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